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Posterior capsular rupture causing posterior shoulder instability: a case report.

Anup A Shah1, R Bryan Butler, Rachel Fowler

  • 1Atlanta Sports Medicine, Atlanta, Georgia, USA.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|August 2, 2011
PubMed
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A posterior capsule rupture in a football player, initially treated conservatively, was successfully repaired arthroscopically. This treatment resolved activity-related posterior shoulder pain and restored full function.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • Posterior shoulder dislocation can lead to posterior capsule injury.
  • Conservative management may fail for activity-related posterior shoulder pain.
  • Posterior instability is often associated with labral tears.

Observation:

  • A 20-year-old football player presented with persistent posterior shoulder pain after a dislocation.
  • Imaging and examination suggested posterior instability, possibly from a labral tear.
  • Arthroscopy revealed an oval capsular rupture, not a typical labral tear.

Findings:

  • An all-arthroscopic repair of the capsular rupture was performed using nonabsorbable sutures.
  • The patient experienced complete resolution of pain and instability symptoms.

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  • Full range of motion and return to competitive football were achieved post-surgery.

    • Implications:

    • Arthroscopic repair is an effective treatment for midsubstance posterior capsule ruptures.
    • This technique can restore function in athletes with posterior shoulder instability.
    • Accurate diagnosis of capsular defects is crucial for successful surgical outcomes.